Individual
DR. LOUIS LURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 4TH AVE, STE 307, CHULA VISTA, CA 91910-4410
(619) 426-3240
(619) 426-5964
Mailing address
480 4TH AVE, STE 307, CHULA VISTA, CA 91910-4410
(619) 426-3240
(619) 426-5964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G13181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G13181
—
CA
01
—
G13181
STATE LICENSE
CA
Enumeration date
07/27/2005
Last updated
07/08/2007
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